Jasmin Carlblom, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

10252 Issued in MN

Practice address

6776 Lake Dr
Suite 220
Lino Lakes, MN 55014

Phone

(651) 784-7007

NPI assigned

Aug 17, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jasmin Hanson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advance Speech Therapy, LLC

  • Speech-Language Pathologist
  • Lino Lakes, MN
  • NPI 1215144654
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1023563236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR STE 220",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "550141192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6776 LAKE DR",
            "address_2": "SUITE 220",
            "city": "LINO LAKES",
            "state": "MN",
            "postal_code": "55014",
            "telephone_number": "651-784-7007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6776 Lake Dr",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Lino Lakes",
            "state": "MN",
            "postal_code": "55014",
            "country_code": "US",
            "telephone_number": "651-784-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARLBLOM",
        "first_name": "JASMIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "10252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JASMIN",
            "last_name": "HANSON",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patricia Anne Burrows
• Thomas R Butler, LPCC
• Buys Chiropractic
• Joel David Buys, DC
• Canvas Health, Inc.
• Renee Caron, DPT
• Brian Richard Carpenter
• Centre for Upper Cervical Chiropractic Care LLC
• Charyl Weingarten, D.D.S., P.L.L.C
• Melissa Christensen, LADC

• Physical Therapist in Lino Lakes, MN
• Providers in Lino Lakes, MN by specialty
• Physical Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.